Increase to 40 mg from 30 mg?

Started on Prozac on 1st September.  Depression, bad migraine with fibromyalgia pain in arms and legs, extreme fatigue.  Began to feel better after 2-3 weeks, waking feeling refreshed and more energised and motivated.  No more migraines since then.  Body pains much improved.  Only real problem acid indigestion and very hungry.

Blip mid-October.  Had an antibiotic for uti which upset my stomach and bowel very badly.  Took a long time to get over this.  Given Lanzaprazole which upset me and then changed to Omeprazole.  GP increased Prozac to 30 mg on 22 October as I was very anxious - mostly about stomach / bowel probs and wondering if this was going on for a long time because of the Prozac.  Went on holiday 14 - 28 November.  Tummy gradually settled.  Feeling generally ok.  For last couple of weeks, had sore throat with cold which threatens but comes to nothing, increasing fatigue and lack of energy.  Very tired every afternoon and sleeping too heavily, for too long, with vivid dreams.  Migraines haven't returned but aches and pains in legs and arms back.

Saw GP yesterday and he said to increase 30 to 40 mg.  Quite worried about doing this - partly because I don't know whether tummy probs were more associated with last increase then antibiotics.  Also very worried that fatigue etc may get worse on increased dose.

Just want to get back to initial improvement.  Any comments or suggestions welcome.

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Best,

Alex

I wouldn't increase yet. I would give it a lot more time and you will probably settle back down. Flouxitine can upset your stomach so I take mine with food. Sometimes it can take a long time for the meds to do their thing so you may be able to get by on a smaller dose if you just hang in there a bit longer and let them work. That way you may not have to increase at all. Every time you increase you will usually get symptoms again until your body gets used to increased dose.

I have only been on 10mg of prozac for about 5 weeks now and I've been doing a lot of research due to symptoms and side effects I've been having. Judging by what I've been reading you should give 30mg a while longer and then up to 40mg if you feel you need to. Give it time. Best of luck ♡